Individual
DR. ANTHONY ANSAR MOHAMED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
207 FOOTE AVE, JAMESTOWN, NY 14701-7077
(716) 664-9731
Mailing address
750 E ADAMS ST, DEPARTMENT OF RADIOLOGY - ROOM 3428, SYRACUSE, NY 13210-2306
(315) 464-7434
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
304660
NY
390200000X
Student in an Organized Health Care Education/Training Program
MT206694
PA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
07/14/2014
Last updated
06/18/2020
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